| NPI | 1891548475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMY WHITE Director 919-880-3984 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1223X0400X Dentist, Orthodontics and Dentofacial Orthopedics |
| Enumeration Date | 2024-04-11 |
| Last Update Date | 2024-04-11 |